不同术式泪囊鼻腔吻合术治疗慢性泪囊炎VIP免费

·临床报告·不同术式泪囊鼻腔吻合术治疗慢性泪囊炎丛日昌1,张海川2,林荣封2,韩丽川1,白摇玉2作者单位:(518102)中国广东省深圳市,广东医学院附属西乡人民医院1眼科;2耳鼻喉科作者简介:丛日昌,男,副主任医师,研究方向:眼底病。通讯作者:张海川,学士,副主任医师,研究方向:耳显微外科学.Zhanghc1881@163.com收稿日期:2012鄄02鄄27摇摇修回日期:2012鄄05鄄23ComparisonofeffectsoftwodifferentsurgicalmethodsonchronicdacryocystitisRi鄄ChangCong1,Hai鄄ChuanZhang2,Rong鄄FengLin2,Li鄄ChuanHan1,YuBai21DepartmentofOphthalmology;2DepartmentofOtorhinolaryngology,AffiliatedXixiangPeople蒺sHospitalofGuangdongMedicalCollege,Shenzhen518102,GuangdongProvince,ChinaCorrespondenceto:Hai鄄ChuanZhang.DepartmentofOtorhinolaryngology,AffiliatedXixiangPeople蒺sHospitalofGuangdongMedicalCollege,Shenzhen518102,GuangdongProvince,China.Zhanghc1881@163.comReceived:2012鄄02鄄27摇摇Accepted:2012鄄05鄄23Abstract誗AIM:Tocomparetheeffectsofmodifiedtraditionaldacryocystorhinostomywithintranasalendoscopicdacryocystorhinostomyonchronicdacryocystitis.誗METHODS:Totally112caseswithcompletemedicalrecordswerestudiedretrospectivelyincluding53caseswithmodifiedtraditionaldacryocystorhinostomy(groupA)and59caseswithintranasalendoscopicdacryocystorhinostomy(groupB).誗RESULTS:IngroupA,after6鄄12monthsfollow鄄up,51of53(96.2%)caseshadgoodresults;whileingroupB,55of59(93.2%)caseshadgoodresults.Therewasnostatisticalsignificantdifferencebetweenthetwogroups(P>0.05).誗CONCLUSION:Theintranasalendoscopicdacryocysto鄄rhinostomyisaneffectivemini鄄invasiveoperationwithnofacialsurgicalscaranditsoperativeeffectcanapproachthatofmodifiedtraditionaldacryocystorhinostomyifsurgicalfeaturesaregraspedwell.誗KEYWORDS:chronicdacryocystitis;dacryocystorhi鄄nostomy;endoscope;modifiedsurgeryCitation:CongRC,ZhangHC,LinRF,etal.Comparisonofeffectsoftwodifferentsurgicalmethodsonchronicdacryocystitis.GuojiYankeZazhi(IntEyeSci)2012;12(7):1399鄄1401摘要目的:比较改良的传统泪囊鼻腔吻合术和经鼻内镜下泪囊鼻腔吻合术治疗慢性泪囊炎的临床疗效。方法:选取病历资料完整、行手术治疗的慢性泪囊炎患者112例,其中行改良的传统泪囊鼻腔吻合术患者53例,行鼻内镜下泪囊鼻腔吻合术患者59例。结果:统计经过6~12mo的随访观察,改良的传统泪囊鼻腔吻合术组有效51例,有效率96.2%,经鼻内镜下泪囊鼻腔吻合组有效55例,有效率93.2%,两组差异比较无统计学意义(P>0.05)。结论:经鼻内镜下泪囊鼻腔吻合术具有较多优点,避免了面部瘢痕,符合现代微创手术要求;掌握手术指征,其手术效果可接近改良的传统泪囊鼻腔吻合术。关键词:慢性泪囊炎;泪囊鼻腔吻合;鼻内镜;改良术式DOI:10.3969/j.issn.1672鄄5123.2012.07.59引用:丛日昌,张海川,林荣封,等.不同术式泪囊鼻腔吻合术治疗慢性泪囊炎.国际眼科杂志2012;12(7):1399鄄14010引言摇摇慢性泪囊炎是眼科的一种常见病和多发病,女性发病率较男性高,经典的手术方式为泪囊鼻腔吻合术。我们于2002鄄05/2009鄄07分别应用改良的传统泪囊鼻腔吻合术和经鼻内镜下泪囊鼻腔吻合术治疗慢性泪囊炎,选取病历资料完整、定期、及时复查的患者112例112眼,对两种手术方法进行临床比较。1对象和方法1.1对象摇改良的传统泪囊鼻腔吻合术组(简称改良组)53例53眼,男18例18眼,女35例35眼,年龄36~60岁。经鼻内镜下泪囊鼻腔吻合术组(简称鼻内镜组)59例59眼,男13例13眼,女46例46眼,年龄18~52岁。两组病程为1~10a,均为第一次手术。术前全身检查无明显异常,并经耳鼻喉科会诊排除明显的鼻部疾病。术前常规冲洗泪道,每例患者术前均行泪道碘油造影,明确泪道、泪囊情况,选择手术方式。两组术后均复查随访6~12mo。1.2方法1.2.1改良泪囊鼻腔吻合术摇术前在术眼同侧中鼻道及中鼻甲前端填入浸有10g/L地卡因和5g/L麻黄素的纱条10min。泪囊区皮下...